Master's Theses
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Browsing Master's Theses by Subject "birth"
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Item The experiences of intrapartum nurses in a northeastern Ontario, Canada setting in providing labour support(2018-06-14) Dobson, Ylise M.A qualitative, interpretive descriptive study, using a symbolic interactionism theoretical framework, was conducted to explore the experiences of intrapartum nurses in a Northeastern Ontario, Canadian hospital and the meaning they place on providing labour support. There is substantial literature that supports the many benefits of labour support provided by intrapartum nurses. Throughout the intrapartum experience, the nurse influences, creates, and shapes the meaning and understanding of the labour experience. Semi-structured interviews were conducted with eight registered nurse participants recruited from a hospital. Interviews were transcribed and analyzed for themes. The following five themes emerged from the data: Enhancing the birthing experience of women through labour support, birthing technology and medical paradigm, birthing environment that influences the intrapartum nursing care, interprofessional collaborative relationships and intrapartum specialists. The findings suggest that intrapartum nurses have been drawn away from providing labour support and have become preoccupied with managing technology and competing priorities for their time and attention. Barriers and challenges in the experience of nurses providing labour support were identified. Suggestions for nursing practice include the importance of continuing education for labour support techniques and tools. Training is important for all nurses who practice in hospitals where less labour support may be offered due to high intervention rates. Competence validation would include creating a certification for labour support that is both theoretical and a simulated experience.Item Risk factors for mode of delivery(2019-01-15) Briglio, TianaMode of delivery and the effects of birth trauma were investigated. First, a literature revealed the need for further examination of a specific mode of delivery (operative vaginal birth [OVB]). Secondly, an integrative review explored the concept of birth trauma as it relates to healthcare provider actions and behaviours via the following research question: What is known about the relationship between healthcare provider actions and women’s perceived birth trauma? Thirdly, a retrospective study was conducted that built on the literature review to answer the following research question: What infant, maternal, healthcare provider, and regional characteristics put a woman at risk for experiencing an OVB? The final section concludes the project by reflecting on the work completed, interpreting the results for nursing and other healthcare providers, and providing recommendations for future research. This thesis sets the groundwork for future research as it includes the first study to explore unique risk factors for OVB for women in Ontario, Canada. As well as, uncovering the impact that healthcare provider actions and behaviours have on a woman’s birthing experience. The knowledge built in this project has the ability to inform healthcare providers who care for women during the antenatal period, labour and childbirth as well as health policy informing women’s health and wellness.